Discovery of BMS-986235/LAR-1219: A Potent Formyl Peptide Receptor 2 (FPR2) Selective Agonist for the Prevention of Heart Failure

J Med Chem. 2020 Sep 10;63(17):9003-9019. doi: 10.1021/acs.jmedchem.9b02101. Epub 2020 May 24.

Abstract

Formyl peptide receptor 2 (FPR2) agonists can stimulate resolution of inflammation and may have utility for treatment of diseases caused by chronic inflammation, including heart failure. We report the discovery of a potent and selective FPR2 agonist and its evaluation in a mouse heart failure model. A simple linear urea with moderate agonist activity served as the starting point for optimization. Introduction of a pyrrolidinone core accessed a rigid conformation that produced potent FPR2 and FPR1 agonists. Optimization of lactam substituents led to the discovery of the FPR2 selective agonist 13c, BMS-986235/LAR-1219. In cellular assays 13c inhibited neutrophil chemotaxis and stimulated macrophage phagocytosis, key end points to promote resolution of inflammation. Cardiac structure and functional improvements were observed in a mouse heart failure model following treatment with BMS-986235/LAR-1219.

MeSH terms

  • Animals
  • Chemotaxis / drug effects
  • Disease Models, Animal
  • Drug Evaluation, Preclinical
  • HEK293 Cells
  • Heart Failure / pathology
  • Heart Failure / prevention & control
  • Humans
  • Macrophages / cytology
  • Macrophages / immunology
  • Macrophages / metabolism
  • Mice
  • Microsomes, Liver / metabolism
  • Neutrophils / cytology
  • Neutrophils / physiology
  • Phagocytosis / drug effects
  • Pyrrolidinones / chemistry*
  • Pyrrolidinones / metabolism
  • Pyrrolidinones / pharmacology
  • Pyrrolidinones / therapeutic use
  • Receptors, Formyl Peptide / agonists*
  • Receptors, Formyl Peptide / genetics
  • Receptors, Formyl Peptide / metabolism
  • Receptors, Lipoxin / agonists*
  • Receptors, Lipoxin / genetics
  • Receptors, Lipoxin / metabolism
  • Structure-Activity Relationship

Substances

  • FPR1 protein, human
  • FPR2 protein, human
  • Pyrrolidinones
  • Receptors, Formyl Peptide
  • Receptors, Lipoxin